Healthcare Provider Details

I. General information

NPI: 1093712531
Provider Name (Legal Business Name): IRWIN SCHUSSLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 COURTYARD DR STE 330
AUSTIN TX
78731-3334
US

IV. Provider business mailing address

5910 COURTYARD DR STE 330
AUSTIN TX
78731-3334
US

V. Phone/Fax

Practice location:
  • Phone: 512-377-5000
  • Fax: 512-377-2501
Mailing address:
  • Phone: 512-377-5000
  • Fax: 512-377-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD9882
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: